Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 15849 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Deans' stroke musings
Changing stroke rehab and research worldwide now.Time is Brain!Just think of all thetrillions and trillions of neuronsthateach daybecause there areeffective hyperacute therapies besides tPA(only 12% effective). I have 493 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.
What this blog is for:
Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It's quite disgusting that this information is not available from every stroke association and doctors group. My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html
Wednesday, January 10, 2018
Importance and Challenges of Moving Stroke Prevention into the Community
is a leading cause of morbidity and mortality in the United States and
disproportionally affects minority populations, especially blacks and
Hispanics.1 Hence, the
importance of the recent study conducted by Cheng et al; they describe
the results of a randomized controlled trial testing the efficacy of a
multicomponent Chronic Care Model–based intervention among patients
receiving care within the Los Angeles, California, public healthcare
system2. This is the second
largest municipal healthcare system in the United States with a high
penetration of minority patients, including many non-English speakers.
SUSTAIN trial (Systematic Use of Stroke Averting Interventions) tested a
complex intervention to address risk factors for stroke. The SUSTAIN
intervention included multiple elements—group visits, one-on-one
sessions with a care manager to individualize and reinforce the content
presented in the group session, clinical visits, and home blood pressure
monitoring—compared with an educational control. SUSTAIN’s primary
outcome was improvement in systolic blood pressure at 12 months.
Secondary outcomes included improvement in cholesterol control,
specifically low-density lipoprotein, also at 12 months. Although the
study was adequately powered, the primary outcome results were null.
Systolic blood pressure decreased in both the intervention and control
arms, but the difference in improvement between the groups (−3.6 mm Hg)
was not statistically significant.2
advance the field of stroke prevention and ensure that a balanced view
is presented in the literature, publishing both positive and null
studies is important. Despite the null findings, SUSTAIN had several
noteworthy aspects. The study was conducted in a community healthcare
system and enrolled a large proportion of …